Plan Benefits Manager
1 day ago
Responsible for all aspects of Benefit configuration including interpretation, analysis, implementation and audit.
Apply member cost share and benefit exclusion information from health plan evidence of coverage into the system.
Develop test cases and documentation to support configuration changes/updates/additions, including annual/quarterly code loads.
Assists in the research and resolution of Benefit inquiries submitted by other department within established time frames.
Assist in completion of major projects. Define, develop, drive and deliver assigned small projects.
Work with key project stakeholders to formulate and communicate business requirements and scope of project.
Work with project stakeholders to translate their requirements into specifications technical staff can understand, translate questions that technical staff has into a format the stakeholders can understand and validate their requirements.
Unit tests upon development to ensure requirements have been met.
Identify potential areas of automation and aid in re-engineering the underlying business processes.
Set up test environment and prioritize testing.
Perform root cause analysis and issue resolution Execute and track test cases and documentation to support configuration changes/updates/additions and software implementations.
Responsible for configuration, interface and application testing.
Responsible for User Acceptance testing and implementation support.
Develop and maintain standards for development of business processes and cases and their documentation.
Coordinate multiple simultaneous projects and initiatives.
Facilitates and leads meetings and selected work-groups.